Aumer, Katherine V.
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ItemDiscovering a New Standard for Treating Depressive Symptoms(Massachusetts Medical Society, 2022-05-18)Integrated Health Hawaii established evidence-based standards for an engagement-focused care coordination model to treat depression that can contribute significantly to alleviating symptoms and preventing more costly care. Attempting to reach a patient at least seven times resulted in the greatest improvement in outcome measures. Depression is currently ranked as the third leading contributor to global disease burden, and it is estimated that it will be number one by 2030. Care coordination models have been shown to help improve patient outcomes and reduce costs. Yet evidence-based standards for successfully contacting and engaging patients through care coordination are lacking. This study examines Integrated Health Hawaii’s engagement-focused care coordination model to provide evidence for the most effective utilization of care coordination with those suffering from depression in a diverse population. The current standard of making a “good effort,” three attempts, may only be reaching 60\% of patients. To reach at least 75\% of patients, seven attempts should be made; and to reach 95\% of patients, 10 attempts should be made. These attempts can be made within a 2-week period, and the outcomes prevented are substantial in terms of alleviating symptoms, reducing Patient Health Questionnaire-9 scores, and preventing more costly care, including ER visits and self-harm.
ItemThe Psychology of Extremism(Springer Nature, 2020)This volume examines the psychological factors, environments, and social factors contributing to identification with extremist identities and ideologies. Incorporating recent findings on interpersonal relationships, emotions, and social identity, the book aims to improve understanding of what makes individuals vulnerable to extremism. It concludes with a discussion of the intricacies of identification with extremist groups, a proposal for de-radicalization, and a call for awareness as a means to resist polarization. Chapters highlight interdisciplinary research into specific concepts and behaviors that can lead to extremism, addressing topics such as:
- Homogamy, tribalism and the desire to belong
- Shared hatred in strong group identities
- The impact of emotional contagion on personal relationships
- Dehumanization across political party lines